Individual
MEGAN OUPATIGA MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2301 S ONEIDA ST, GREEN BAY, WI 54304-5230
(920) 490-0424
Mailing address
2301 S ONEIDA ST, GREEN BAY, WI 54304-5230
(920) 490-0424
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19546-40
WI
Other
Enumeration date
03/16/2020
Last updated
03/12/2021
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